| Source HCPCS Code |
|
Target NDC Code |
J2820
Injection, sargramostim (gm-csf), 50 mcg
|
⇄
|
00024-5843-05
LEUKINE 250 MCG VIAL
|
| Detail Information |
| Relationship Start Date |
09/15/2016 |
| Relationship End Date |
06/30/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2820
INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG
|
⇄
|
50419-0002-33
LEUKINE (VIAL) 250 MCG
|
| Detail Information |
| Relationship Start Date |
10/23/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2820
INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG
|
⇄
|
50419-0050-30
LEUKINE (M.D.V.) 500 MCG/ML
|
| Detail Information |
| Relationship Start Date |
10/23/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2820
INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG
|
⇄
|
50419-0595-01
LEUKINE 500 MCG/ML
|
| Detail Information |
| Relationship Start Date |
6/29/2007 |
| Relationship End Date |
1/23/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2820
INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG
|
⇄
|
50419-0595-05
LEUKINE (5X1ML, M.D.V.) 500 MCG/ML
|
| Detail Information |
| Relationship Start Date |
1/30/2006 |
| Relationship End Date |
1/23/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2820
INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG
|
⇄
|
54868-3188-00
LEUKINE 500 MCG/ML
|
| Detail Information |
| Relationship Start Date |
5/23/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2820
|
⇄
|
58406-0002-01
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J2820
INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG
|
⇄
|
58406-0002-33
LEUKINE (VIAL) 250 MCG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/22/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2820
|
⇄
|
58406-0050-14
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J2820
INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG
|
⇄
|
58406-0050-30
LEUKINE (M.D.V.) 500 MCG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/22/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2820
|
⇄
|
58468-0180-02
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J2820
|
⇄
|
58468-0181-02
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J2820
Injection, sargramostim (gm-csf), 50 mcg
|
⇄
|
71837-5843-01
LEUKINE 250 MCG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2820
Injection, sargramostim (gm-csf), 50 mcg
|
⇄
|
71837-5843-05
LEUKINE 250 MCG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2820
Sargramostim injection
|
⇄
|
71837-5843-05
Leukine (LYO PWD)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|